Organization
PETER CASEY ENTERPRISES LLC
Active
Other names
Brian's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN KOESY PHARM.D (PHARMACIST)
(501) 392-6412
Entity
Organization
Contact information
Practice address
4201 E KIEHL AVE, SHERWOOD, AR 72120-3541
(501) 392-6412
(501) 819-0081
Mailing address
4201 E KIEHL AVE, SHERWOOD, AR 72120-3541
(501) 392-6412
(501) 819-0081
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206317407
—
AR
Enumeration date
09/24/2014
Last updated
09/28/2022
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